Individual provider Active NPI

Linda Nguyen Du, O.D.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1205210960
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2015023051 Issued in MO
Practice address
7840 Natural Bridge Blvd
1 University Blvd
Saint Louis, MO 63121-4617
Phone
(314) 516-5131
Fax
(314) 516-6064
NPI assigned
Jul 13, 2015
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2015023051 MO Primary
Optometrist 152W00000X 046010913 IL

Addresses

Primary practice location

7840 Natural Bridge Blvd
1 University Blvd
Saint Louis, MO 63121-4617

Mailing address

1 University Blvd
Patient Care Center
Saint Louis, MO 63121-4400
Phone (314) 516-5131

Other practice location 1

3940 Lindell Blvd
Saint Louis, MO 63108-3204
Phone (314) 516-5016

Other practice location 2

601 James R Thompson Blvd Ste 2030
East Saint Louis, IL 62201-1118
Phone (618) 274-0169

Other practice location 3

401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone (314) 353-5190

Other names 1

  • Dr. Linda Thi Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160105001872 IL Practitioner - Optometry 0244543411 Reassigns benefits to 1 organization
I20160816001297 MO Practitioner - Optometry 0244543411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curators of the University of MissouriGroup PAC ID 6800704560, shared by 12 NPIs, 19 clinicians

Practice addresses (Care Compare)

3940 Lindell Blvd
Saint Louis, MO 63108-3204
Phone (314) 516-5016

601 James R Thompson Blvd
Suite 23030
East Saint Louis, IL 62201-1118
Phone (618) 482-8355

7840 Natural Bridge Rd
Saint Loius, MO 63121-4617
Phone (314) 516-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri Optometrist CurrentSince Aug 15, 2016 Accepting new patients
Curators of the University of Missouri Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Curators of the University of Missouri CurrentSince Aug 1, 2016 Accepting new patients
Curators of the University of Missouri Optometrist CurrentSince Aug 15, 2016 Accepting new patients

Locations

601 James R Thompson Blvd
Bldg D
East Saint Louis, IL 62201
Phone (573) 882-3629

1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131

3940 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 516-5016

7840 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 382-6400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1205210960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "address_2": "PATIENT CARE CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214400",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 NATURAL BRIDGE BLVD",
            "address_2": "1 UNIVERSITY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214617",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Lindell Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083204",
            "country_code": "US",
            "telephone_number": "314-516-5016",
            "fax_number": "314-535-4741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 James R Thompson Blvd Ste 2030",
            "address_purpose": "LOCATION",
            "city": "East Saint Louis",
            "state": "IL",
            "postal_code": "622011118",
            "country_code": "US",
            "telephone_number": "618-274-0169",
            "fax_number": "618-274-0781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Holly Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631112410",
            "country_code": "US",
            "telephone_number": "314-353-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DU",
        "first_name": "LINDA",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015023051",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "NGUYEN",
            "middle_name": "THI",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.